Beruflich Dokumente
Kultur Dokumente
Motor Response (MDS G-4: B) ” Not tested ” No deficits Functional Problems related to Strength Deficits:
Muscle Group/Strength grade/Tone:
Muscle Group/Strength grade/Tone:
Muscle Group/Strength grade/Tone:
Muscle Group/Strength grade/Tone:
Level of Assistance: Independent=I; Modified Independent=Mod I; Stand By Assist=SBA; Supervision=S; Contact Guard Assist=CGA;
Minimum=Min; Moderate=Mod; Maximum=Max; Dependent=D
Weight Bearing: Full=FWB; Partial=PWB; Toe Touch=TTWB; None=NWB; Weight Bearing as Tolerated=WBAT
Assistive Devices: Front Wheeled Walker=FWW; Standard Walker=SW; HemiWalker=HW;
Large Based Quad Cane=LBQC; Small Based Quad Cane=SBQC; Straight Cane=SC
Functional Mobility Level of Comments Pain (rate on scale of 1–10): (MDS J-2,3)
(MDS G1 a,b,l) Assist. ” None
Bed Rolls Right
Mobility Rolls Left
Supine to Sit
Sit to Supine Sensory:
Scooting
Transfers
Comments:
Therapist Signature/Credentials/Date: